MEDICARE: WILLIAM JOHN ARVANT DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH0001908	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CH0001908	OTHER	FL	LICENSE NUMBER

General Provider Information

NPI Number	:	1386721611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM JOHN ARVANT DC

Provider Business Mailing Address
First Line	:	1621 EAST VINE STREET
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744
Country	:	US
Telephone Number	:	407-847-2898
Fax Number	:	321-442-1099

Provider Business Practice Location Address
First Line	:	1621 EAST VINE STREET
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744
Country	:	US
Telephone Number	:	407-847-2898
Fax Number	:	321-442-1099

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/08/2007

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